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(Hypertension. 2005;45:483.)
© 2005 American Heart Association, Inc.

Editorial Commentaries

Ambulatory Blood Pressure Monitoring for Routine Clinical Practice

Martin G. Myers

From the Division of Cardiology, Sunnybrook & Women’s College Health Sciences Centre and Department of Medicine, University of Toronto, Canada.

Correspondence to Dr Martin G. Myers, Sunnybrook & Women’s College Health Sciences Centre, A-202, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada. E-mail martin.myers@swchsc.on.ca

An extract of the first 250 words of the full text is provided, because this article has no abstract.

"The inherent variability of the blood pressure has led to problems in the diagnosis, treatment, and prognosis of hypertension. Knowing how the blood pressure fluctuates with the stresses and strains of everyday life should help in assessing the severity of hypertension, the response to treatment, and the prognosis in individual cases."

— —Hinman et al; 1962.

It has taken 40 years for the ideas first proposed in this quote from an article¹ on a new portable device for recording blood pressure (BP) to be considered for routine clinical practice. However, it did not take this long for astute researchers to recognize the importance of the development of this portable BP recorder, later known by the name of its manufacturer, the Remler Company.

By 1966, Maurice Sokolow et al had used the semi-automated Remler device to compare casual office BP with readings taken during awake hours in 124 patients with a diagnosis of hypertension.² Despite the rather primitive technology by today’s standards, Sokolow et al were able to show that the ambulatory BP was a better predictor of hypertensive complications than the casual office BP. Sokolow and colleagues followed-up on this initial observation with a prospective observational study³ comparing the predictive power of the standard office BP versus the Remler device in 1076 patients with essential hypertension for cardiovascular outcomes over a mean 5-year period. This second study confirmed their original observations that ambulatory BP monitoring (ABPM) was a more accurate predictor of outcome than the office BP.

After the publication . . . [Full Text of this Article]

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